Provider Demographics
NPI:1144422122
Name:DEBORAH JOAN MOREY
Entity Type:Organization
Organization Name:DEBORAH JOAN MOREY
Other - Org Name:PROFESSIONAL COUNSELING SOLUTIONS, PLLC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:DEBBIE
Authorized Official - Middle Name:
Authorized Official - Last Name:MOREY
Authorized Official - Suffix:
Authorized Official - Credentials:LPC
Authorized Official - Phone:580-305-0939
Mailing Address - Street 1:1400 N 11TH ST
Mailing Address - Street 2:
Mailing Address - City:FREDERICK
Mailing Address - State:OK
Mailing Address - Zip Code:73542-2035
Mailing Address - Country:US
Mailing Address - Phone:580-305-0939
Mailing Address - Fax:580-335-2443
Practice Address - Street 1:1400 N 11TH ST
Practice Address - Street 2:
Practice Address - City:FREDERICK
Practice Address - State:OK
Practice Address - Zip Code:73542-2035
Practice Address - Country:US
Practice Address - Phone:580-305-0939
Practice Address - Fax:580-335-7443
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-06-02
Last Update Date:2024-01-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK2935251S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
No251S00000XAgenciesCommunity/Behavioral Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
OK200115660Medicaid